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    Exam Review

    1. Which pregnant client is most at risk for ABO incompatibility?
      A)Mother is blood type A, father is blood type O, fetus is blood type A
      B)Mother is blood type AB, father is blood type O, fetus is blood type O
      C)Mother is blood type B, father is blood type B, fetus is blood type B
      D)Mother is blood type O, father is blood type A. fetus is blood type A
    2. A nurse is reviewing a newborn's chart and notes that the mother is blood type O and the baby is blood type A. Which of the following statements about ABO incompatibility is correct?
      A)ABO incompatibility occurs exclusively in Rh-negative mothers with Rh-positive infants, leading to mild anemia but not jaundice, and is easily prevented with Rh immunoglobulin.
      B)ABO incompatibility occurs when the mother's antibodies cross the placenta and attack fetal red blood cells, potentially causing mild hemolytic disease, jaundice. and anemia in the newborn, and it is more common than Rh incompatibility.
      C)ABO incompatibility only occurs if the mother has received multiple blood transfusions during pregnancy, causing maternal antibodies to attack fetal red blood cells, and it rarely affects newborns.
      D)ABO incompatibility occurs when the mother and infant have the same blood type, leading to severe hemolysis, kernicterus, and often requires immediate exchange transfusion.
    3. A nurse is caring for a 2-year-old toddler who is postoperative and nonverbal due to sedation. The child is grimacing and pulling at their IV site. Which pain assessment tool is MOST appropriate?
      A)Wong-Baker Faces Scale
      B)Numeric Rating Scale
      C)FLACC
      D)Visual Analog Scale
    4. A nurse is assessing a 4-year-old child who presents with symptoms suggestive of epiglottitis. Which of the following clinical manifestations would be most consistent with this condition?
      A)Difficulty swallowing drooling, hoarseness, and sitting in a tripod position
      B)Rhinorrhea, congestion, mild sore throat, and hoarseness
      C)Sudden onset of cough, wheezing, rapid breathing and difficulty swallowing
      D)Hoarseness, stridor, and a barking cough
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    Exam Review

    1. A 5-year-old child is scheduled for a vaccination. The nurse wants the child to self-report pain. The child can understand pictures but has difficulty with numbers. Which pain assessment tool is MOST appropriate?
      A)Numeric Rating Scale (0-10)
      B)FLACC scale
      C)Visual Analog Scale
      D)Oucher Pain Scale
    2. A 5-year-old preschooler is recovering from a tonsillectomy and is able to speak but has difficulty understanding numbers. Which pain assessment tool should the nurse use?
      A)Numeric Rating Scale
      B)Visual Analog Scale
      C)FLACC
      D)Faces Pain Scale-Revised (Wong-Baker)
    3. A 6-year-old child in the pediatric ward has had a minor laceration sutured on the forearm. Vital signs are within normal limits but the child is quiet. withdrawn, and refuses to play. The nurse suspects pain. What action should the nurse take FIRST?
      A)Use a developmentally appropriate pain assessment tool.
      B)Assume the child is fine because vital signs are stable.
      C)offer the child juice and a snack.
      D)Wait until pain is mentioned verbally by the child.
    4. A 5-year-old child presents to the emergency department with a stiff jaw, muscle spasms, and difficulty swallowing. The mother reports the child stepped on rusty nail 10 days ago. Which of the following is the priority nursing intervention?
      A)Apply a cold compress to the wound
      B)Encourage the child to ambulate to prevent stiffness
      C)Provide a tetanus booster and tetanus immune globulin
      D)Administer oral antibiotics
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    Exam Review

    1. A pregnant client has a history of opioid dependence. Which of the following are appropriate nursing interventions for managing her care? Select all that apply.(SATA)
      A)Advise the client that occasional drug use is safe during pregnancy
      B)offer nonjudgmental counseling and referrals to support services
      C)Encourage abrupt discontinuation of all opioids
      D)Monitor the newborn for signs of neonatal abstinence syndrome (NAS)
      E)Provide methadone therapy as prescribed
    2. Rho immune globulin will be ordered after birth if which situation occurs?
      A)Mother Rh-, baby Rh+
      B)Mother Rh+, baby Rh-
      C)Mother Rh+, baby Rh+
      D)Mother Rh-, baby Rh-
    3. A 13-year-old with juvenile arthritis has been experiencing persistent joint pain for the past 4 months. Which statement BEST defines this type of pain?
      A)Referred pain
      B)Procedural pain
      C)Chronic pain
      D)Acute pain
    4. During a well-child visit, a parent asks why their 7-month-old has started to reach for objects with one hand before picking up smaller items with the fingers. Which explanation should the nurse give?
      A)"Your baby is demonstrating proximal-to-distal development, gaining control from the center outward"
      B)Your baby should use both hands equally at this age"
      C)"This is a sign of delayed fine motor development"
      D)"Your baby is skipping developmental milestones"
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    Exam Review

    1. A nurse is admitting a patient who is at 38 weeks gestation and has severe pre-eclampsia. When assessing the patient, the nurse should expect which finding?
      A)Polyuria
      B)Tachycardia
      C)Headache
      D)Diplopia
    2. A 33-week pregnant client presents with severe right upper quadrant pain, nausea, and malaise. The provider suspects HELLP syndrome. Which combination of laboratory findings would confirm the diagnosis? (Select All that Apply.)(SATA)
      A)Hemolysis
      B)Elevated liver enzymes
      C)Severe hypertension
      D)Hyperglycemia
      E)Low platelets
    3. Which of the following findings in a pregnant client may indicate potential heart failure rather than normal pregnancy changes?
      A)Feeling tired at the end of a busy day
      B)Shortness of breath with moderate exertion
      C)Mild swelling of ankles after standing all day
      D)Swelling of face and hands, rapid breathing, and persistent cough
    4. A mother is Rh-negative, and her fetus is Rh-positive. She delivered her first Rh-positive baby without receiving Rho(D) immune globulin. Which complication may occur in a future pregnancy if sensitization has occurred?
      A)Neonatal hypoglycemia
      B)Miscarriage
      C)Fetal macrosomia
      D)Placenta previa
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    Exam Review

    1. A 10-year-old child presents with joint pain, low-grade fever, and a history of untreated strep throat 3 weeks ago. The nurse recalls that rheumatic fever is an autoimmune reaction following Group A Streptococcus infection. Which of the following complications should the nurse prioritize monitoring for?
      A)Pulmonary hypertension leading to increased peripheral resistance
      B)Pancarditis leading to long-term valve damage, especially the mitral valve
      C)Acute kidney injury leading to bladder insufficiency
      D)Coronary artery aneurysms arising from hypertension
    2. The nurse is assessing a newborn who is 12 hours old. Which symptoms would indicate the newborn is experiencing respiratory distress?(Select all that apply)(SATA)
      A)grunting
      B)increased appetite
      C)inspiratory stridor
      D)retractions
      E)nasal flaring
    3. A pregnant client completes the 1-hour glucose tolerance test (GTT) at 26 weeks' gestation. The nurse explains that if the blood glucose result is above ____ to ____mg/dL. It is considered a positive screening and the client will need a 3-hour oral glucose tolerance test.
    4. A 12-year-old child with sickle cell disease is admitted with a vaso-occlusive crisis. The child rates pain as 10/10 but refuses IV opioids due to fear of needles. Which intervention should the nurse implement FIRST?
      A)Document the refusal and delay analgesia.
      B)Explain that pain medication is mandatory.
      C)Ask the child to wait until the pain becomes severe.
      D)Offer nonpharmacologic pain.
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    Exam Review

    1. The patient has an order for a single dose of ceftriaxone 400 mg IM. The final concentration is 500 mg/1.2 ml. How many milliliters will you administer? (Round to the nearest hundredth.)
    2. A 9-month-old infant presents with fever and irritability. The nurse notices the infant repeatedly pulls at the right ear, arches the back when touched, and grimaces during diaper changes. Which assessment BEST guides the nurse's interpretation of the infant's pain?
      A)Behavioral cues, posture, and expressions help infer pain location and intensity.
      B)Only physiological indicators reliably determine the presence and location of pain.
      C)The infant's behaviors show generated distress: cannot locate pain without verbalization.
      D)The infant's behaviors are exaggerated due to caregiver anxiety and attention-seeking.
    3. A nurse is assessing a 3-year-old child's response to a new daycare environment. The child initially clings to the parent, cries, and takes several minutes to warm up to other children and new activities. Which statement BEST reflects the child's temperament?
      A)The child's behavior indicates a delay in social development rather than temperament.
      B)The child has a difficult temperament and is unlikely to ever adapt to new environments.
      C)The child has an easy temperament and adapts quickly to new situations.
      D)The child has a slow-to-warm-up temperament and requires time to adjust to new experiences.
    4. A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?
      A)Abdominal pain with scan red vaginal bleeding
      B)Painless red vaginal bleeding
      C)Increasing abdominal pain with a rigid abdomen
      D)Intermittent abdominal pain following passage of bloody mucus
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